Individual provider Active NPI

Brandi Michelle Chiarello, M.S., LPC

  • Professional Counselor
  • Dallas, TX
National Provider Identifier
1043546898
Registry record updated Feb 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
63436 Issued in TX
Practice address
13151 Emily Rd
Ste 109
Dallas, TX 75240-8989
Phone
(469) 321-6006
NPI assigned
Oct 29, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 63436 TX Primary

Addresses

Primary practice location

13151 Emily Rd
Ste 109
Dallas, TX 75240-8989

Mailing address

13151 Emily Rd
Ste 109
Dallas, TX 75240-8989
Phone (469) 321-6006

Other names 1

  • Miss Brandi Michelle Holliday Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Mar 8, 2024 through Mar 8, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
63436TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Family First Counseling Professional Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1256774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330041600000",
    "number": "1043546898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13151 EMILY RD",
            "address_2": "STE 109",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752408989",
            "telephone_number": "469-321-6006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13151 EMILY RD",
            "address_2": "STE 109",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752408989",
            "telephone_number": "469-321-6006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIARELLO",
        "first_name": "BRANDI",
        "middle_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "credential": "M.S., LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-29",
        "last_updated": "2012-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "63436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRANDI",
            "last_name": "HOLLIDAY",
            "middle_name": "MICHELLE",
            "prefix": "MISS",
            "credential": "MS, LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.